HomeMy WebLinkAbout2402 Marshall AveWE sir: i
SEP 13 2012 1
BY: CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 4411 Documented Construction Value: $
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Job Address: 02!/0) 17_70Y5)7a%l Q' yr, Historic District: Yes No
Parcel ID: 3 6 y' 0 - So2 y -- 4 o u -0 D 0 Zoning: 4, I d e__0 / ej
Description of Work: c4. e / ,t) uv -i _/U 44
Plan Review Contact Person: /'/01 Y !a :T1 1M" _ Title:
Phone: 3213YV2_30 Fax: 07VL)3"3 y`19 0 E-mail: q(Y1af_,7-eaf/22
Property Owner Information
Name / / fY /O l rv e. Phone: 3 2 / .3
Street: '-2t%CJ2 Of VC Resident of property? : A) O
City, State Zip: S,;7//ng2,c,/ 3 Z 933
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Contractor Information
Name Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address: sia 4tnL
PERMIT INFORMATION
Building Permit
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical Plumbing
New Service —.No. of AMPS: New Construction - No. of Fixtures:
Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads:
o0
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Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate -and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON"THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND ' TO OBTAIN :FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies; or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, .FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released._..,
ignature ofOnec/Agent
DaZW1
2
e Signature of Contractor/Agent Date
G`
a7-/ Gl 3/Yh.e t &
Print Owner/Agent's Name
Date
My Comm. Expires May 20; 2013
Commission # DD 891578
Bonded Through National Notary Assn.
3/r z
Owner/Agent is Personally Known to Me or
Produced ID X Type of ID clo T 0,
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
J
OWNER BUILDER STATEMENT/AFFID.AVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs-
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
Rev. 9.14.2009
I understand that state law requires construction to be done by a licensed contractor and have appiiect tor
an owner -builder under an exemption from the law. The exemption specifies that I, as the owner ofpermit
the. property listed, may act as my own contractor with certain restrictions even though I do not have a
2 J
license.
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I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
May protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or. substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers :on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
Property Address: r N ol, S5 p'11) O Vt
I, w( a -n, 0 J \ Vy) e 110-2— , do hereby state that I am qualified
and capable of -performing the requested construction involved -with -the permit application filed --and agree to the
conditions specifizd,above.
0
Signature, f .wrier -Builder Date
m
Form of Identification
Must be Photo ID)
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permii_issued.
Rev. 9.14.2009
I agree that, as the party legally and financially responsible for this proposed construction activity, I will,
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
I am of aware of construction -practices -and I"have access to -the Florida Building Codes.
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
information that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property Address: r N ol, S5 p'11) O Vt
I, w( a -n, 0 J \ Vy) e 110-2— , do hereby state that I am qualified
and capable of -performing the requested construction involved -with -the permit application filed --and agree to the
conditions specifizd,above.
0
Signature, f .wrier -Builder Date
m
Form of Identification
Must be Photo ID)
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permii_issued.
Rev. 9.14.2009
SCPA Parcel View: 36-19-30-524-0600-0070
Cj
pvll
tu sRan.0 i /r Parcel: 36-19-30-524-0600-0070
iKtil7 Owner: MATOS INOCENCIA
SW- 11N COc NTY. 1 1.0F00 L Property Address: 2407 MARSHALL AVE SANFORD, FL 32771
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Parcel: 36-19-30-524-0600-0070 Value Summary
r
Property Address: 2407 MARSHALL AVE
Owner: MATOS INOCENCIA
Mailing: 2511 SLAUREL AVE
SANFORD, FL 32773 - 5112
Subdivision Name: DREAMWOLD 3RD SEC
Tax District: S1-SANFORD
Exemptions: 00 -HOMESTEAD (2009)
DOR Use Code: 01 -SINGLE FAMILY
12 1 1 !j 11
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Map Aerial Both Footprint + Extents Center
Larger Map Dual Map View - External
Page 1 of 2
Tax Amount without SOH: $655
2011 Tax Bill Amount $655
Tax Estimator TRIM Notice
Save Our Homes Savings: $0
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
2012 Working 2011 Certified
Values Values
Valuation
Cost/Market Cost/Markel
Method
Number of
1 1
Buildings
Depreciated
40,823 45,038
Bldg Value
Depreciated
1,344 1,344
EXFT Value
County General Fund
Land Value
22,119 23,912
Market)
25,000
Land Value Ag
lust/Market
864,286 70,294
Value **
City Sanford
Portability Adj
64,286 39,286
Save Our Homes
0 SC
Adj
64,286
Amendment 1
25,000
Adj
Assessed vaiuel 64,286 70,294
Tax Amount without SOH: $655
2011 Tax Bill Amount $655
Tax Estimator TRIM Notice
Save Our Homes Savings: $0
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LEG LOTS 7 + 8 BILK 6 3RD SEC DREAMWOLD PB 4 PG 70
Tax Details
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 64,286 39,286 25,000
Schools 64,286 25,000 39,286
City Sanford 64,286 39,286 25,000
SJWM(Saint Johns Water Management) 64,286 39,286 25,000
County Bondsi 64,2861 39,2861 25,000
Sales
Deed Date Book Page Amount Vac/Imp Qualified
WARRANTY DEED 03/2006 06190 1 555 150,000 Improved Yes
WARRANTY DEED 05/2004 05319 1453 91,500 Improved Yes
QUIT CLAIM DEED 03/2004 05233 0659 42,300 Improved No
WARRANTY DEED 01/2003 04720 0576 58,900 Improved No
http://www.scpafl.org/ParcelDetails.aspx?PID=36-19-30-524-0600-0070 9/13/2012
Return to:
Name: Post Closing
Address: Cobblestone Title Services, LLC
385 Alexandria Blvd., Suite 2
Oviedo, FL 32765
This Instrument Prepared by:
KATHERIN E. ORTIZ
Cobblestone Title Services, LLC
385 Alexandria Blvd., Suite 2
Oviedo, FL 32765
as a necessary incident to the fulfillment of conditions
contained in a title insurance commitment issued by it_
Property Appraiser Parcel Identification (Folio) Number(s):
File No: cb121613
WARRANTY DEED
MARYANNE MRRSE9 CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 07852 Pg 0404; Q pg )
CLERK'S # 2012107845
RECORDED 09/1.1/2012 10:19:33 AM
DEED'DOC TAX 84.010
RECORDING FEES 10.00
RECORDED BY T Smith
This Warranty Deed Made and executed the 6th' day of September, 2012, by INOCENCIA MATOS f
A Single Woman ----_—_--- hereinafter called the Grantor, whose post office address is:
T51 1 T AIiM I, Z1E-, - - S-A—NEQRa- --F- L—_32=773.. — _ ,
REG
MARIA JIMENEZ, a single woman whose post office address hereinafter
called the Grantee, * '
5737 GATLIN AVENUE # 418
Sanford, FL 32822
WITNESSETH: That the grantor, for and in consideration of the sum of $12,000.00 and other valuable considerations,
receipt whereof is hereby acknowledged, by these presents does grant, bargain, sell, alien, remise, release, convey and
confirm unto the grantee, all that certain land situate in Seminole County, Florida, viz:
Lot 7 and 8, Block 6 of DREAMWOLD 3RD SECTION, according to the Plat thereof as recorded in Plat
Book 4, Page(s) 70, of the Public Records of SEMINOLE County, Florida.
This property is the homestead of the Grantor(s).
TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Bold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that it is lawfully seized of said land in fee simple; that it has good right
and lawful authority to sell and convey said land; that it hereby fully warrants the title to said land and vrill defend the same
against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing
subsequent to December 31, 2011, reservations, restrictions and easements of record, if any.
Wherever used herein the terms "grantor" and grantee" herein shall be construed to include all genders and singular or
plural as the context indicates.)
IN WITNESS WHEREOF, Grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed, Sealed and Delivered in Our Presence:
Witness Signat6r — — L-
PR1T NAME: )AIt,/,/—'54—Z
L
Witness Si nature: g
PRrNTNAME:.A-7V1111f&A''+t
STATE OF FLORIDA
COUNTY OF SEMINOLE,
1 Y . ' (Seal)
INOCENCIA MATO
The foregoing instrument was acknowledged before me this 6th day of September, 2012 by INOCENCIA MATOS
who is/are personally known to me or who has/have produced,,k)-1 ivers Licdese as identification.
My Commission Expires:
io N`v'ba c ZAIDA R. SANCHEZ
Notary Public - State ofri
I „ 'r? My Comm. Expires May 7,
Commission # EE 192398
d-
eal)